Upon June 13 last, I was called in consultation to see the following case, on account of the serious symptoms which had supervened three days before. The history of the case was given as follows:
John W., aged 18, had a discharge from his left ear during childhood. This had ceased and remained well until the present attack. After having influenza seven weeks ago, a severe otitis media on the left side with profuse discharge followed. Under treatment he was progressing favorably until three days ago when he had chills, severe pain in left side of head, dizziness and vomiting, since which time his temperature has ranged from one-half to three-quarters of a degree above normal, but has not exceeded that at any time. It was also noticed that the discharge was less profuse.
Condition Present.—Patient very weak, perspiring freely. Temperature 99 degrees. Pulse 120. Dizziness so bad he could